Mrs. Raquel I Berezdivin, PA-C
Physician Assistant in San Juan, Puerto Rico
1114669140- Practice location
- 1511 Avenida De La Constitucion, Suite 3, San Juan, PR
- Phone
- 787-339-2639
- Fax
- —
- Last updated
- October 28, 2022
Raquel Ita Berezdivin is a Physician Assistant based in San Juan, PR. Raquel Ita Berezdivin practices in San Juan, PR and has the professional credentials of PA-C. The NPI Number for Raquel Ita Berezdivin is 1114669140 and holds a License No. PA9113995 (FL). The current practice location address for Raquel Ita Berezdivin is 1511 Avenida De La Constitucion, Suite 3, San Juan, PR and can be reached out via phone at 787-339-2639.
Provider Profile Details
- NPI Number
- 1114669140
- Provider Name
- Raquel Ita Berezdivin
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1511 Avenida De La Constitucion, Suite 3, San Juan, PR
- Phone Number
- 787-339-2639
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Other Names
- Raquel Ita Franco, PA-C (Former Name)
- Provider Enumeration Date
- April 11, 2022
- Last Update Date
- October 28, 2022
- Certification Date
- April 11, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1511 Avenida De La Constitucion
Suite 3
San Juan, PR - City
- San Juan
- State
- Puerto Rico
- Phone Number
- 787-339-2639
Provider Business Mailing Address Details
- Address
- 54 Calle Calistemon
Guaynabo, PR 00966-3166 - City
- Guaynabo
- State
- PR
- Zip
- 00966-3166
- Phone Number
- 786-223-7624
License Information
- License Number (1)
- PA9113995
- License State (1)
- FL
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 845PA
- License State (2)
- PR
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near San Juan, PR
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- Dr. Delvis O Torres VazquezPhysician Assistant · NPI 1952051542
- Dr. Dialisbeth Encarnacion Lugo, PAPhysician Assistant · NPI 1316863681
- Dr. Francisco Barrios, MD, PAPhysician Assistant · NPI 1669147336
- Dr. Francisco J Martinez Flores, MDPhysician Assistant · NPI 1215755053
Frequently Asked Questions
What is the NPI number of Mrs. Raquel I Berezdivin, PA-C?
The NPI number of Mrs. Raquel I Berezdivin, PA-C is 1114669140. It was assigned on April 11, 2022 and is currently active in the NPPES registry.
What is the specialty of Mrs. Raquel I Berezdivin, PA-C?
Mrs. Raquel I Berezdivin, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in FL under license number PA9113995.
Where does Mrs. Raquel I Berezdivin, PA-C practice?
The practice location is 1511 Avenida De La Constitucion, Suite 3, San Juan, PR. The office can be reached at 787-339-2639 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114669140 directly on the NPPES registry website.